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Contact Information

CAROLINE M WALLACE, MS, BCBA
4 BROADWAY AVE EXT, UNIT 3
STONINGTON, CT06378
 Phone: 860-980-3233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for CAROLINE M WALLACE · (Female)

NPI # 1841857141
Status Active
Credentials MS, BCBA
Entity Individual
Enumeration date 05/22/2019
Last updated 05/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 805
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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